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Nephrotic syndrome

Nephrosis

Nephrotic syndrome is a group of symptoms that include protein in the urine, low blood protein levels in the blood, high cholesterol levels, high triglyceride levels, increased blood clot risk, and swelling.

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Male urinary system

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Causes

Nephrotic syndrome is caused by different disorders that damage the kidneys. This damage leads to the release of too much protein in the urine.

The most common cause in children is minimal change disease. Membranous glomerulonephritis is the most common cause in adults. In both diseases, the glomeruli in the kidneys are damaged. Glomeruli are the structures that help filter wastes and fluids.

This condition can also occur from:

It can occur with kidney disorders such as:

Nephrotic syndrome can affect all age groups. In children, it is most common between ages 2 and 6. This disorder occurs slightly more often in males than females.

Symptoms

Swelling (edema) is the most common symptom. It may occur:

Other symptoms include:

Exams and Tests

The health care provider will perform a physical exam. Laboratory tests will be done to see how well the kidneys are working. They include:

Fats are often also present in the urine. Blood cholesterol and triglyceride levels may be high.

A kidney biopsy may be needed to find the cause of the disorder.

Tests to rule out various causes may include the following:

This disease may also change the results of the following tests:

Treatment

The goals of treatment are to relieve symptoms, prevent complications, and delay kidney damage. To control nephrotic syndrome, the disorder that is causing it must be treated. You may need treatment for life.

Treatments may include any of the following:

Outlook (Prognosis)

Outcome varies. Some people recover from the condition. Others develop long-term kidney disease and need dialysis and eventually a kidney transplant.

Possible Complications

Health problems that may result from nephrotic syndrome include:

When to Contact a Medical Professional

Call your provider if:

Go to the emergency room or call the local emergency number (such as 911) if you have seizures.

Prevention

Treating conditions that can cause nephrotic syndrome may help prevent the syndrome.

Related Information

Protein urine test
Swelling
Minimal change disease
Membranous nephropathy
Malignancy
Diabetes
Systemic lupus erythematosus
Multiple myeloma
Primary amyloidosis
Glomerulonephritis
Focal segmental glomerulosclerosis
Atherosclerosis
Renal vein thrombosis
Acute kidney failure
Chronic kidney disease
Community-acquired pneumonia in adults
Heart failure - overview
Pulmonary edema

References

Pais P, Avner ED. Nephrotic syndrome. In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 527.

Ruggenenti P, Cravedi P, Remuzzi G. Microvascular and macrovascular diseases of the kidney. In: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner and Rector's The Kidney. 10th ed. Philadelphia, PA: Elsevier; 2016:chap 35.

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Review Date: 8/1/2017  

Reviewed By: Walead Latif, MD, Nephrologist and Clinical Associate Professor, Rutgers Medical School, Newark, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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